How to do TCM nursing for ovarian cancer

How to do TCM nursing for ovarian cancer

Ovarian cancer is the most common type of cancer in the female reproductive organs. The main treatment is surgical removal. Traditional Chinese medicine considers ovarian cancer to be an abdominal mass that is hard and cannot be moved or dispersed by pressing. It is accompanied by lower abdominal pain, heaviness and discomfort, dull complexion, weight loss, rough skin, fatigue, poor appetite, constipation, dark purple tongue with ecchymosis, and thin and stringy or stringy pulse.

What are the TCM nursing measures for ovarian cancer?

1. Qi and blood stasis type

Symptoms: Abdominal mass, hard, not dislodged by pushing, not dissipated by pressing, pain in the lower abdomen, discomfort, dark complexion, emaciation, rough skin, fatigue, poor appetite, constipation, dark purple tongue with ecchymosis, thin and astringent or stringy pulse. Most patients are in the middle or late stage.

Treatment method: Promote blood circulation and remove blood stasis, regulate qi and relieve pain, and strengthen the body.

Prescription: self-made. Trigonosciadium japonicum, Curcuma zedoaria, Salvia miltiorrhiza, Paeonia lactiflora, Toosendan fruit, Seven-leafed Parsley, Lithospermum officinale, Corydalis yanhusuo, Linderae scutellariae, Aucklandia lappa, Codonopsis pilosula, Astragalus membranaceus, Chicken gizzard lining. Decoction in water, 1 dose per day.

2. Phlegm-dampness condensation type

Symptoms: abdominal mass, cup-shaped abdomen (ascites), abdominal distension, fatigue, poor appetite, pale tongue, greasy white fur, and slippery pulse. Most cases are accompanied by ascites in the middle and late stages.

Treatment method: Strengthen the spleen and eliminate dampness, resolve blood stasis and soften hard masses.

Prescription: Cangfu Daotan Decoction with modifications. Atractylodes, Poria, Pinellia, Aconite (pre-decocted), Arisaema, Tangerine Peel, Coix Seed, Trillium, Curcuma, Citrus Aurantium, Cyperus, Astragalus, Codonopsis, Gynostemma Pentaphyllum. Decoction in water, 1 dose per day.

3. Damp-heat and blood stasis type

Symptoms: abdominal mass, abdominal distension, bitter taste in the mouth

Dry throat and loss of appetite, dry stool, burning urine, or irregular vaginal bleeding, dark red tongue, or red-purple tongue, thick or greasy yellow fur, stringy or slippery pulse. This is more common in late-stage ovarian cancer.

Treatment method: clear away heat and dampness, detoxify and resolve stagnation.

Prescription: Wuling powder with modifications. Atractylodes macrocephala, oriental rhizome, Polyporus umbellatus, cinnamon twig, Solanum nigrum, Scutellaria barbata, Hedyotis diffusa, Pitaya bark, Plantago asiatica, Bletilla striata, Dianthus superbus, Coix seed, Astragalus membranaceus, Curcuma zedoaria. Decoction in water, 1 dose per day.

4. Qi and Yin deficiency type

Symptoms: Abdominal mass for a long time, weight loss and drowsiness, pale face and dull spirit, shortness of breath and laziness to speak, occasional low fever or distended abdomen, loss of appetite, dry mouth and unwillingness to drink much, red or pale tongue with little coating, and stringy and thin pulse or deep, thin and weak pulse.

Treatment: Nourish the liver and kidneys, soften and eliminate symptoms

Prescription: Liuwei Dihuang Wan with added ingredients. Rehmannia root, Chinese yam, cornus fruit, Poria, Cortex Moutan, Rhizoma Alismatis, Carapace of Turtle, Morinda officinalis, Psoralea corylifolia, Codonopsis pilosula, Astragalus, Fructus Ligustri Lucidi, Hedyotis diffusa, Solanum nigrum, Gallus gallus tuber, Tripterygium wilfordii. Decoction in water, 1 dose per day.

In addition, appropriate measures should be taken according to the different psychological activities of patients. That is, in the process of caring for patients, nursing staff should use their words, expressions, attitudes, and behaviors to influence or change patients' feelings and cognitions, so as to alleviate patients' pain and help them establish the best physical and mental state conducive to treatment and recovery. When patients return to the hospital for follow-up examinations, new achievements in cancer are repeatedly publicized to enable patients to build confidence in life, cooperate with treatment, and live a happy life.

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